This article explores whether Medicare pays more for the same outpatient services provided in an acute specialty hospital than in an ambulatory surgery center (ASC). How financially dependent a specialty hospital is on ASC-eligible services is also investigated. Medicare outpatient claims in 43 orthopedic and 12 surgical specialty hospitals in 2004 were repriced using ASC pricing software. Paym...

OBJECTIVES/HYPOTHESIS Determine rates and reasons for revisits after adult ambulatory sinonasal surgery. STUDY DESIGN Cross-sectional analysis of multi-state ambulatory surgery and hospital databases. METHODS Ambulatory adult sinonasal procedures were extracted from the State Ambulatory Surgery Databases for New York, Florida, Iowa, and California for 2010. Cases were linked to the State Em...

OBJECTIVES To determine the demographics and perioperative outcomes of ambulatory laryngopharyngeal surgery in the United States and to investigate potential changes over a 10-year period. DESIGN Cross-sectional, population-based study of representative US ambulatory surgery data. SETTING The National Survey of Ambulatory Surgery (NSAS). PATIENTS The study included all patient records from ...

In contrast to other countries, gynaecological ambulatory surgery in Germany today is mainly performed in private free-standing units. They perform approximately 98% of all ambulatory operations. A quality assurance programme in gynaecological ambulatory surgery started in the early 1980s and proved the safety of outpatient surgery in experienced hands. Gynaecological ambulatory surgery proved ...

This randomized controlled trial compared the clinical outcome from inpatient and ambulatory laparoscopy for benign gynaecological conditions. While 658 consecutive patients were considered for inclusion into the study, data from 26 inpatients and 40 ambulatory cases were analysed. Inpatient surgery was undertaken by more senior surgeons (p< 0.001), but complication rates were similar. For reme...

BACKGROUND: Ambulatory surgical care accounts for over 70% of elective procedures in Northern America. Ambulatory paediatric surgical practice is not widespread in Nigeria. This report examined clinical indicators for quality care in paediatric ambulatory surgery using common outcomes after day case procedures as benchmark. METHODS: This was a cross-sectional study of children who were presente...

Background:  Elbow surgery is shared by several subspecialties. We were curious about the most common elbow surgeries and their corresponding diagnoses in the United States.   Methods:  We used the National Hospital Discharge Survey (NHDS) and the National Survey of Ambulatory Surgery (NSAS) data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgic...

In order to move toward a program of reliable and routine ambulatory cardiac surgery there must be a paradigm change in the attitude of both patients and caregivers. The status quo must be abandoned and replaced by the pioneering attitude of the early practitioners who formed our specialty.

Ambulatory anesthesia allows quick recovery from anesthesia, leading to an early discharge and rapid resumption of daily activities, which can be of great benefit to patients, healthcare providers, third-party payers, and hospitals. Recently, with the development of minimally invasive surgical techniques and short-acting anesthetics, the use of ambulatory surgery has grown rapidly. Additionally...